Lakelands Nursing And Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Lakelands Nursing And Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, isolatedF640Apr 17, 2025

  Based on review of the RAI Manual, record review, and interviews, the facility failed to ensure the quarterly comprehensive assessment for 2 of 2 residents (R)4 and R28 was transmitted timely. Findings include: Review of the RAI Version 2.0 Manual, Chapter 5: Submission and Correction of the MDS Assessments revealed MDS assessments are edited to verify that clinical responses are within valid ranges, dates are reasonable, and assessments are consistent with the previous assessments completed for the same resident. The facility is notified of the results of this evaluation on the Initial Feedback Report or the Final Validation Report. […]

• No harm, potential for more than minimal, isolatedF759Apr 17, 2025

  Based on review of the facility policy, observations, record review and interviews, the facility failed to ensure a medication administration error rate of less than 5 percent (%). Additionally, the facility failed to ensure an ordered medication for Resident (R)4 was administered timely. The medication administration error rate was 8 %. Findings include: Review of the facility policy titled, Medication Administration - General Guidelines, revised 02/25/2025 states: Procedures : B. Administration 10) An adequate amount of water (approx 4 ounces (oz.) or other acceptable liquid is offered with oral medications. More liquids may be necessary when administering certain medications (e.g., bisphosphonates). Check with the manufacturer's recommendations or pharmacist if unsure. […]

• No harm, potential for more than minimal, isolatedF600Aug 10, 2021

  Based on interviews, record review and review of the Abuse Prevention and Complaint Investigation Policy, the facility failed to provide an environment free form verbal abuse for Resident #1, 1 of 3 reviewed for abuse. Findings include: Resident #1 was admitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of the most recent Minimum Data Set Assessment indicated a Brief Interview of Mental Status score of 15, indicating s/he is cognitively intact. The facility submitted an allegation of verbal abuse for Resident #1 by Certified Nursing Assistant (CNA) #1 to the State Agency on 5/30/2021 via facsimilie. […]

• No harm, potential for more than minimal, isolatedF609Aug 10, 2021

  Based on policy review and record review, the facility failed to report allegations of verbal abuse to the State Agency within 2 hours. Findings Include: The facility submitted an allegation of verbal abuse for Resident #1 by Certified Nursing Assistant #1 to the State Agency on 5/30/2021 via facsimilie. Review of the initial report indicated the incident occurred and the facility became aware on 5/29/2021 at 6:59 pm per a signature on the 2/24 initial report by the Director of Nursing (DON). […]